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General NPI Number Information
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NPI Number | 1154908630
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Entity Type | Individual
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Provider Name | TONY M CHUANG MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 4855 S MOORLAND RD
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City | NEW BERLIN
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State | WI
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Zip | 53151-7494
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Country | US
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Telephone | 262-432-7599
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Fax | 262-432-7694
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Provider Business Mailing Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-2511
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 72289
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 31620
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 83605-20
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 8360520
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License Number State | WI
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